Patient Forms

Department of Speech Pathology and Audiology

Patient Welcome and Policies

Patient Registration Form

First time patients or established patients in need of an update can complete this form online prior to your scheduled visit.
Fill out your Patient Registration Form

HIPAA Notice

This notice describes how medical information about you may be used or disclosed as well as how you can access this information.
Fill out your Patient HIPAA Form

Upload your Divers License and Insurance Cards

Please us this form to securly upload your drivers license and insurance cards.
Upload Drivers License and Insurance Cards